March 25, 2010

Burundi 2010 © Martina Bacigalupo

People in Kayanza province in northern Burundi line up to receive mosquito nets.

Burundi has been grappling with a serious increase of malaria patients since the start of the year. MSF teams have been cooperating with Burundi authorities to fight the disease’s spread by treating patients and distributing mosquito nets to prevent new infections.

Malaria is spread through the bite of certain mosquitoes. These specific mosquitoes have been rife in northern Burundi since late 2009. Malaria cases have spread in the provinces of Kayanza, Ngozi and Karusi. The Burundian authorities have asked MSF to help them respond to this emergency situation.

MSF’s emergency teams in Kayanza and Ngozi provinces developed a three-pronged strategy. It includes support to local hospitals, testing and treating patients in the various villages through mobile clinics, and the distribution of mosquito nets to avoid new infections. Another MSF team is evaluating the situation in Karusi province.

Mobile Clinics

The mobile clinics play a critical role in reaching people living scattered among the hills who can otherwise be hard to access. Each of the 16 mobile clinics visits a hill three times a week. Feverish patients (or patients who report they had a fever) can be examined free of charge and receive whatever treatment they require. The more serious cases are transferred to the provincial hospital. The mobile clinics have already examined more than 32,000 people and found that more than 70 percent of them had malaria.

Lepeta is 65 years old, and lives alone on Rukago hill. She has already had malaria three times since Christmas, and was running a fever again for some 10 days. As she could not afford any treatment, she simply stayed at home. Her son finally took her on his bicycle to an MSF mobile clinic. The MSF teams then immediately transferred her to Kayanza hospital. It turns out Lepeta was suffering from a severe form of the disease. During her transfer to the hospital, Lepeta went into a coma, but she’s out of danger now and recovering satisfactorily.

Strengthening the Hospitals

MSF currently provides support to the provincial hospitals of Ngozi and Kayanza in order to ensure adequate and free treatment of patients. In these two facilities the internal medicine, pediatric and emergency wards have all been reinforced with donations of drugs and other medical material. In order to relieve hospital wards, MSF has opened specialized services in tents for treating patients with complicated malaria. MSF has also trained medical staff so as to bolster hospital teams.

The pediatric department has received particular attention, as children are especially vulnerable to the consequences of malaria. Claudine is nine years old. A few days ago, she developed malaria symptoms and her mother took her to the local health center. Unfortunately, Claudine could not tolerate the treatment given and systematically vomited up her medicine. Her state deteriorated, and she went into a half-coma. Without losing any time, her mother hoisted Claudine on to her back and carried her to Kayanza hospital, where she was admitted to the paediatric ward.

Mosquito Net Distribution

The mosquitoes responsible for the spread of malaria are most active at night. Sleeping under a mosquito net therefore offers valuable protection against the disease. MSF has already distributed 36,000 mosquito nets, and is raising awareness in the population on how to use them properly, thereby ensuring real protection.

Malaria is endemic in Burundi so cases are registered even when no major epidemic is underway. Mosquitoes transmit the parasite vector through their bite, provoking bouts of fever and chills in the infected person. According to estimations, every year this disease kills more than one million people worldwide, and 20 percent of deaths in children under five on the African continent are caused by malaria.

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